Operation Marmara for the varicocele treatment

Marmara surgery is a safe method of varicocele treatment, which differs from other methods in its low-invasive and effective. Varicocele is a condition in which the veins of the seed cord expand due to improper blood circulation. Varicocele occurs due to elevated venous pressure and insufficient strength of the venous walls. In the place of full veins, there are dilatations that compress neighboring tissues and cause swelling and pain.

Varicocele mainly appears from the left testicle, which is due to the specific location of the veins. From the left testicle, blood flow is carried out by means of lozoidal pleura veins, which later form the ovarian vein and enter into the renal vein. The ovarian vein itself is deep and long, so blood circulation in it is abundant and stronger, which is a favorable environment for the appearance of extensions. But in rare cases it is possible to enlarge the veins of the right testicle, usually the appearance of varicosity on the right side is formed due to relapse of disease or tumors of the kidney.

The causes of venous expansion of the sperm channel are excessive physical exertion, increase in intra-abdominal pressure, abnormal location of veins and vessels. And a dangerous complication of varicocele is infertility, which is affected by impaired circulation in the sexual system. The optimal treatment for varicocele is Marmara surgery.

Children with varicocele often have problems with the balance of hormones, since the seeds play an important role in the process of puberty and are the main source of male hormones

Varicocele has a gradual development and with the increase of the degree of the disease, the severity of the disease increases. So in the initial degree of varicocele there are no symptoms and men for a long time do not know about their disease. But as the disease progresses, the pain becomes constant.

Varicocele symptoms

Symptoms of varicocele include discomfort in the area of the scrotum, very rarely swelling. These manifestations are intensified after physical exertion or sexual intercourse.

Varicocele diagnosis

Diagnosis of the disease in late stages is easy with palpation in a lying and standing position. If the visual varicocele is not recognized, then to confirm the diagnosis, the doctor refers to the ultrasound of the organs of the scrotum with doppler and ejaculate analysis.

Indications and contraindications

Marmara surgery for varicocele is necessary in case of unsatisfactory sperm analysis, when symptoms appear and if the patient wishes to restore the aesthetic appearance.

Marmara surgery for varicocele is performed on indication or as desired, but for surgical intervention there may be contraindications. Based on the results of the diagnosis, the doctor decides whether the operation is necessary.

Marmara surgery for varicocele is contraindicated if the patient has:

• Infectious disease;
• Worsening of chronic disease;
• allergic reaction, including seasonal;
• Blood clotting drugs are taken on a regular basis;
• type 1 diabetes mellitus;
• Neurological diseases.

If the patient wishes, it is possible to cryopreserve sperm samples before Marmar’s surgery for varicocele.

Preparation for surgery

Operation Marmara is planned and must be tested before it. Urologist gives direction to related specialists to identify contraindications.

The preparation also consists in refusing food and water, since Marmara’s surgery can be performed with general anesthesia, causing nausea or vomiting. Special training operation Marmara does not require, sufficient compliance with the hygiene regime and diet schedule.

Operation Marmara is not a complicated surgical procedure, but it needs to be prepared. A successful operation requires prior consultation with an andrologist who will perform the necessary examinations and order the necessary tests. Laboratory tests will help confirm or rule out contraindications to the operation. The following tests should be performed by the patient:

• Blood test for sex hormones
• Spermogram
• Common urine analysis
• Coagulogram
• Blood test for hepatitis B and C, RW and HIV.

Patients with varicose legs are recommended to have an ultrasound examination of the inferior limbs. Prior to the start of treatment, past history is also taken into account, so patients who have suffered a stroke or infarction must obtain permission from a cardiologist and neurologist.

How is Marmara surgery performed?

Marmara Surgery is a sub-lingual microsurgical vasectomy that has been widely used for more than 35 years. Marmara surgery consists of creating a small incision, approximately 2-4 cm long in the groin area.

The artery, lymph vessels and veins of the seed cord are removed from the incision. When varicocele veins are filled with blood and they are quite easy to identify. The surgeon then bandages and crosses the dilated veins and removes the pathology. Then the incision is made by stitching, sutures and an aseptic bandage are applied.

Marmara surgery is used quite often in the treatment of varicocele because of its low invasiveness. The small size of the incision allows the seed cord to be removed and the veins selectively removed, preserving the integrity of the artery. The great advantage is rapid recovery after surgery.

Postoperative period

To avoid internal bleeding and other complications, the patient is recommended for bed rest, exclusion of overheating and water procedures. The man is also forbidden physical and sexual activity until his body has recovered.

Complications may occur due to improper operation techniques. Therefore, it is very important to carefully consider the choice of medical center and operating doctor. It is possible to perform an operation with varicocele at the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology (SRIUIR) – the branch of the FSBI “National Medical Research Radiological Centre” of the Ministry of Health of the Russian Federation. The center’s doctors are ready to help with varicocele treatment and perform surgery using innovative equipment and the latest technologies.

Advantage of the method

Marmara surgery is a microsurgical operation that is the leading method of varicocele treatment. Marmara surgery, unlike other methods, minimizes the occurrence of complications and relapses, and also reduces the recovery period.

Timely treatment for varicocele in children reduces the risk of hormonal disorders in adolescents and adolescents to a minimum. After the operation in boys, the sexual organs have normal development and spermatogenesis is activated in time.

Where can I get the surgery?

We provide urgent curative services based on the results of consultation with an experienced urologist and only as intended. To register for a consultation and follow-up operation using the Marmara method, you can use our website by filling in the feedback form and adding all necessary documents. Our team will contact you quickly and discuss all the details of the surgical intervention, taking into account the individual approach to each client. Thanks to the high level of professionalism of our specialists, the operation will be carried out safely and efficiently, ensuring a full recovery.

Operation Marmara is conducted at the N. Lopatkin Scientific Research Institute of Urology and Interventional Radiology (SRIUIR) – the branch of the FSBI “National Medical Research Radiological Centre” of the Ministry of Health of the Russian Federation in the urological Department of Andrology and Human Reproduction. You can contact us by multi-channel phone +7 (499) 110-40-67.